Active NPI
Your Time Online Therapy Services
- Mental Health Counselor
- Bryn Mawr, PA
National Provider Identifier
1083378392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- YOUR TIME ONLINE THERAPY SERVICES
- Practice address
- 100 Chetwynd Dr Ste 203
Bryn Mawr, PA 19010-1453 - Phone
- (267) 471-2322
- NPI assigned
- Oct 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neal King, LCSW
- Title
- Owner
- Phone
- (267) 471-2322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
100 Chetwynd Dr Ste 203
Bryn Mawr, PA 19010-1453
Mailing address
29 Carpenter LN
Philadelphia, PA 19119-2522
Phone (267) 471-2322
National Provider Directory
National Provider DirectoryLocations
100 Chetwynd Dr
Ste 203
Bryn Mawr, PA 19010
Phone (267) 471-2322
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Bryn Mawr, PA
- NPI 1588984926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635120000000",
"number": "1083378392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 CARPENTER LN",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191192522",
"telephone_number": "267-471-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHETWYND DR STE 203",
"city": "BRYN MAWR",
"state": "PA",
"postal_code": "190101453",
"telephone_number": "267-471-2322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR TIME ONLINE THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-25",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "NEAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-471-2322",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bryn Mawr, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.